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Carl Heneghan

๐Ÿ‘ค Speaker
926 total appearances

Appearances Over Time

Podcast Appearances

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

And the difference was a difference of 1.7 versus 1.8% between the intervention and the usual care arm.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

and that difference was not statistically significant, but there was an increase in induction of labour and a decreased incidence of augmentation of labour, which is stimulation of the uterus.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

So this is great quality improvement.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

This is how it should be done in practice.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

We have a particular non-drug intervention, if you like.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

It's a bit of a package.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

It includes education, ultrasound, and at a practice level,

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

And by doing it in this way, we become very clear that actually in low-risk pregnancies, we shouldn't be using ultrasound.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

Quite simple.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

Stunned into silence, I've explained that so well, Helen MacDonald has nothing to say.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

So to me, it seems that the most important thing they were trying to with fetal growth restriction.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

Now, the problem with that is wherever you are, there will be a proportion of baby, which will be the 10 centiles, will be abnormal or you consider abnormal.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

So you will always have a potential to intervene.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

And that's why you have the increased induction of labour.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

Now, what the interesting issue is, though, that you really are interested in the really important clinical outcomes, the perinatal outcomes.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

And I think what that discounted.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

But what's interesting here, the Dutch Ministry of Health considered introducing routine orthognography.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

Therefore, this is a policy initiative.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

And this is the way to answer policy initiatives.

Talk Evidence
Talk Evidence - aggravating acronyms, a time to prescribe, and screening (again)

And there's a really interesting...